HomeMy WebLinkAbout1410A wor�RS•coMv�NsnrroN oea,vinrroN APPLICATION �OR P1.UMBING PERMIT � �,
I heretry aff"nm rhar I hove a cerrificate of conse�r ro talt �ypyyaq
ins�fm.rn a ceniiiw�e of worken'Compensotion Irreurance, CF ei�l�'��a�8t)
or o cenl#ied copy+hereof(Sec.3800,�ab.c.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
�,i;�'�i171I047 �o,,,�„y Fireman's Fund
� �aAifipd copy is hmebY fwnished. ' ,
� FOR AGf'LICANT TO Flll IN(PRINT QR SVVE) ���q�' ;
Genified copy e�e,��d wnti+��o„�,�„e„�+dc��r,x- rooaess 2063.3 S. '1'i716$ COUIi
��de��nyM � `� NUMBER fl%TUREOR IfEM � FEE
� 8/4/83 q�li�nRCRby:�ht4.�!-� �. WATEPCI�ET �,4i�5T •
CER�IFICAIE OF fXEMP�lOtO FROM VNORKERS' �, earHrue �n � caoss srLblima 6 Ra idview Dr. .
�°"^r�^�s^TioNiNsuru`r� �a ov�'^�R Presley of So. Calif.
(Thla s�tllon nNd not M compbNd Q 1he aork Immlv�d br it !
1he p�rmit N fer en�hrmdr�d de0ers(SIOOy or Ins.) 3 Lp,VATORY p� noo�ss 4600 Cam ua Drive �
I ceMfy that i��he performonce of tlre woh for which this - �
pe'mN i�iuued,I shall rw�amploy nny person�n any mannx y� �p cirr P OTt 888Ct1 '�.NO.540'•�SQD �
so qa b betome iubjecl b Ihe Wwl�era"Compenfat�on Luws. D�W�� � �
c°"i�ncT°Q C R P ING C �
Not�rv n�� afra �k��x�s ex��wre of aor�swnsHea !ro no�I2785 Magnolia Ave. �
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� nlW�TM. You shauld become wbjec� ro the Mlarkers' SwunMnJG POOt RfCEVfOR _ . ,
�tbpanwtion poriaiom of�e Wkor Code.Yau m�sr forrh- atv Riverside ����371-500U i
•..wAh spmply w��h wd+awis+ons or �h�s permn choll be IAWNSPRWKlFQ5V5iFM _
$TA1E
demnp��awked. 'yya,��� ��ao. 336428 3b
UCENS�GOtaryRACTOBS I�CWRATIpN � asiw[r nx>. eY {
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GAS SYSPFM OUT(fT5 �'J
I herc�(fmm Ihofiam lac.en?4d uneJO�PO•�0�of CYioptx V 0'� or � .
(ca�9Ortdn9 wMh SBeliO�7000)O��7ivition 3 oi MM B�siM�s p�R�ftg pyER Y :
ard Proiar{fions Code,ord my license is in f�il fqrce ard effect. S PER SYS�FM 4-
F�wu va�ronnoN o
Licertq Number �36�428 ,��.aa5g C-36 °AiE 3`�� � :
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co�,,au„ RCR Pl�biri��,�BI#(83 eNn� -s v :
� I pm saempt undBr Sac. RW..
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` 8.�.�.�RN 1�11E�laSDl1 z �
Plan check Pea 1 : 1 '�P,
Po�e:
PLUMBING PERMiT ISSUING iEE S Q�
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TOTAL fEE � QTf �
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� ihn chec#oppNcont �
SINGtE FqM14V e . � r'. �-
H()ME OWNER�BUtIpkR DEf1ARATiOh Na� R.G.R. PI.i1I1BING, INC. � '
'heGqbYaff'wm flaat I om exempt Fom iha Convoctor'c Licmpe A�r� 2] ('�8�II011a ({Ve. .�ii— :
�w for�he fpllowing reoson(SeUion 7001.5,Busineu and y � � � i
ofe»iwn Code1: Ciiy Tel.No.
� H'vers'de 3 1— 000
1,ps owner ol ihe p/ppsr�y,w�ll do�ha wark ond�he
Struciwe i�na�inrar�sd w olfered for w�e ISx�on , .
7044,Business and Profess�orK Code). �
OOhSTRUCfION IfND�NG AGENCV . .
I hprpby qffirm thp��here is o mnmucYion lendirg pgenq for ;
rhe perfqrmoncs of the work for which thia permit is ixsued
(Sec.30Sfi/.Civ.C.J.
I
Ler�er's Nome �
Lande�a Addross
1
I cMiiy thnt t hwe raod�h�s opplication ond sioM nc�f rhe '
abo�e infamanon�s carrocr.I agroe�o comply w�rh ail Cqwnty , . �
ordinances and State luws reguluting Plum6ing,ond heroby
oulhorize represenw�ives of this County io en�er upon the
obove-meMiorred properry{m inspection purpases. �
SEE REVERSE FOR EXPLANATORY LANGUAGE
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